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Ripon Gymnastic Club

 

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OR RISK, AND INDEMNITY AGREEMENT (“AGREEMENT”)

In consideration of participating in the Ripon Gymnastic Clubs Competition Team, classes or special events, I represent that I understand the nature of this activity and that I am qualified, in good health, and in proper physical condition to participate in such activity, I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the activity.

I fully understand that this activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the event takes place, or the negligence of the participant name below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the activity.

I hereby, release, discharge, and covenant not to sue Ripon Gymnastic Club, LLC. its affiliates, its respective administrators, directors, agents, offices, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and leasers' of premises on which the activity takes place, (each considered one of the “releasers” herein) from all liability, claims, demands, losses, or damages, on my account caused or alleged to be caused in whole or in part by the negligence of the “releases’ or otherwise, including negligent rescue operation and future agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releasers, I will indemnify, save, and hold harmless each of the Releasers from any loss, liability, damage, or cost, which any may incur as the result of such claim. If claim is filed I understand it must be filed in the county the incident occurred. 

 

Medical Expense Release (required)

As Parent/Legal Guardian of participant, I have completed and signed the Release and Waiver of Liability, Assumption or Risk, and Indemnity Agreement (“Agreement”). I understand and agree I am responsible for all medical expenses that may result from my child’s participation as a team member of Ripon Gymnastic Team Program.

 

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Ripon Gymnastics Club has put in place preventative measures to reduce the spread of COVID-19; however, the Club cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending “RGC" could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the RGCs and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at RGC may result from the actions, omissions, or negligence of myself and others, including, but not limited to, employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at RGC or participation in RGCs programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless RGCs , its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of RGCs its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any program. Signature of Parent/Guardian Date Print Name of Parent/Guardian Name of Club Participant(s)

GYM RULES

For Gymnasts

  1. Gymnasts are expected to arrive on time and stay until the end of their practice time. If they are unable to do so their coach must be informed before practice starts.
  2. Gymnasts should stay inside until they are picked up after practice. They are not allowed to go outside or wait in the parking lot.
  3. Gymnasts are expected to wear appropriate attire. We recommend shorts that DO NOT have pockets for boys. Girls should wear a leotard, with or without shorts or pants.
  4. Gymnasts should bring their grips to each practice.
  5. Gymnasts are expected to be respectful and listen to their coaches. They are also expected to follow all safety rules while they are inside the facility.
  6. If there are any problems or concerns, gymnasts should let their coaches know so that the coaches can handle any problems. One of the coaches will call parents if the gymnast is sick, injured, or needs to be picked up for any other reason.
  7. Cell phone use during practice times is not allowed. Gymnasts are expected to leave their cell phones in their lockers and not use them until practice has ended. Gymnasts that use their cell phones during practice without prior permission form the coaches will be asked to leave their cell phones in the front office until practice is over.

For Parents

I Agree

  1. Parents should make sure that their gymnasts arrive on time and wearing proper attire.
  2. To limit interruptions during practice, parents should schedule a time before or after practice to talk to the coaches. They can also e-mail the coaches directly if they have any questions or concerns about practice times, levels, specific skills, competitions, or anything that occurs during practice. Parents should e-mail the office for any questions about tuition payments or competition fees.
  3. If a gymnast must leave early or will miss practice, the coaches should be told before practice starts in person, by text, or by e-mail.
  4. Parents should watch from one of the viewing areas if they are staying during practice.
  5. Parents should come inside to pick up their child if they are dropping off and not staying. Gymnasts are not allowed to wait outside to be picked up.
  6. Parents are required to discuss any injuries with their gymnast’s coach, even if they were not sustained during practice. This is to ensure that coaches are aware of any limitations or problems that may arise during practice and to minimize the chance of further injury (or exacerbation of the injury)
  7. All new students will owe a $45 .00 enrollment fee per child to be placed in a class.
  8. If your child wishes to discontinue classes at any time you must give a 30 day notice. Please do not drop without notifying me. Students who do not miss class and attend for the entire school year see the best progress. •
  9. This session will run from August to May 
  10. Please call or text in advance if your child will miss class for any reason. 
  11. Make up classes are available only if you call in advance and I have an open spot. Make up classes are not guaranteed. 
  12. All students need to wear tight clothing and have their hair pulled back. Please make sure your child is on time and prepared for their lesson. 
  13. This session begins August
  14. Please complete and return as soon as possible as classes fill up quickly.
  15. Once classes are full you may be placed on a waiting list until a spot becomes available.

 

 

I Agree
Team Dues are considered late after the 5th of each month. Payment after the 5th will occur a $15 late fee payment. Team tuition is based on a 12 month 4 week schedule. This covers 48 weeks out of the year. Allowing our coaches 4 weeks of vacation, sick time, and holiday. There are NO makeups for any team program. We apologize for any inconveniences this may cause. We have numerous athletes to cycle through each day of the week.We will not prorate any tuition due to missed classes. We have set number of athletes at each level and therefore must staff theses levels properly. 

Injury and Tuition. In the case that an athlete is injured and is restricted by doctor RGC will require a written notice from the doctor. In most cases athlete will be able to workout in a certain. Staff will make a program for injured athlete. Injuries that require alot of time we will work with families and freeze account. All member will require a 30 day written notice will leaving the gym. 



First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

MEDICAL RELEASE


Mother's Name

Contact Phone:

Email Address:

Father's Name

Contact Phone:

Email Address:

Emergency Contact (Other Than Parents)


Name:

Relationship:

Cell Phone:

Alternate Phone:

Medical Conditions:


List any Medical Conditions:

Medications Currently Taking:
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

MEDICAL RELEASE


Mother's Name

Contact Phone:

Email Address:

Father's Name

Contact Phone:

Email Address:

Emergency Contact (Other Than Parents)


Name:

Relationship:

Cell Phone:

Alternate Phone:

Medical Conditions:


List any Medical Conditions:

Medications Currently Taking:
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

MEDICAL RELEASE


Mother's Name

Contact Phone:

Email Address:

Father's Name

Contact Phone:

Email Address:

Emergency Contact (Other Than Parents)


Name:

Relationship:

Cell Phone:

Alternate Phone:

Medical Conditions:


List any Medical Conditions:

Medications Currently Taking:
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

MEDICAL RELEASE


Mother's Name

Contact Phone:

Email Address:

Father's Name

Contact Phone:

Email Address:

Emergency Contact (Other Than Parents)


Name:

Relationship:

Cell Phone:

Alternate Phone:

Medical Conditions:


List any Medical Conditions:

Medications Currently Taking:
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

MEDICAL RELEASE


Mother's Name

Contact Phone:

Email Address:

Father's Name

Contact Phone:

Email Address:

Emergency Contact (Other Than Parents)


Name:

Relationship:

Cell Phone:

Alternate Phone:

Medical Conditions:


List any Medical Conditions:

Medications Currently Taking:
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

MEDICAL RELEASE


Mother's Name

Contact Phone:

Email Address:

Father's Name

Contact Phone:

Email Address:

Emergency Contact (Other Than Parents)


Name:

Relationship:

Cell Phone:

Alternate Phone:

Medical Conditions:


List any Medical Conditions:

Medications Currently Taking:
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

MEDICAL RELEASE


Mother's Name

Contact Phone:

Email Address:

Father's Name

Contact Phone:

Email Address:

Emergency Contact (Other Than Parents)


Name:

Relationship:

Cell Phone:

Alternate Phone:

Medical Conditions:


List any Medical Conditions:

Medications Currently Taking:
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

MEDICAL RELEASE


Mother's Name

Contact Phone:

Email Address:

Father's Name

Contact Phone:

Email Address:

Emergency Contact (Other Than Parents)


Name:

Relationship:

Cell Phone:

Alternate Phone:

Medical Conditions:


List any Medical Conditions:

Medications Currently Taking:
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

MEDICAL RELEASE


Mother's Name

Contact Phone:

Email Address:

Father's Name

Contact Phone:

Email Address:

Emergency Contact (Other Than Parents)


Name:

Relationship:

Cell Phone:

Alternate Phone:

Medical Conditions:


List any Medical Conditions:

Medications Currently Taking:
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

MEDICAL RELEASE


Mother's Name

Contact Phone:

Email Address:

Father's Name

Contact Phone:

Email Address:

Emergency Contact (Other Than Parents)


Name:

Relationship:

Cell Phone:

Alternate Phone:

Medical Conditions:


List any Medical Conditions:

Medications Currently Taking:
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Insurance

Insurance Carrier*

Insurance Policy Number*
Allergies?

Does your child have an allergies that RGClub needs to be a wear of?
I, THE MINOR’S PARENT AND/OR LEGAL GUARDIAN, understand the nature of the above referenced activities and the Minor’s experience and capabilities and believe the minor to be qualified to participate in such activity. I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect. I give my permission to Ripon Gymnastic Club and/or its affiliates to use, without limitation of obligation, photographs, film footage, or tape recordings, which may include a family’s image or voice for the purpose of promoting or advertising.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

MEDICAL RELEASE


Mother's Name

Contact Phone:

Email Address:

Father's Name

Contact Phone:

Email Address:

Emergency Contact (Other Than Parents)


Name:

Relationship:

Cell Phone:

Alternate Phone:

Medical Conditions:


List any Medical Conditions:

Medications Currently Taking:
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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